| Palouse Oral & Maxillofacial Surgery | |
|
2301 W A St Suite A Moscow ID 83843-4042 | |
| (208) 882-0331 | |
| Not Available |
| Full Name | Palouse Oral & Maxillofacial Surgery |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2301 W A St, Moscow, Idaho |
| Authorized Official Name and Position | John Wallace Morrisn (OWNER) |
| Authorized Official Contact | 2088820331 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palouse Oral & Maxillofacial Surgery 2301 W A St Suite A Moscow ID 83843-4042 Ph: (208) 882-0331 | Palouse Oral & Maxillofacial Surgery 2301 W A St Suite A Moscow ID 83843-4042 Ph: (208) 882-0331 |
| NPI Number | 1497083638 |
|---|---|
| Provider Enumeration Date | 11/30/2009 |
| Last Update Date | 11/30/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497083638 | NPI | - | NPPES |
| 1164567913 | Other | ID | NPI-PERSONAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D-3321-OS (Idaho) | Primary |
Palouse Pediatric Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1246 W A St, Moscow, ID 83843 Phone: 208-882-9999 Fax: 208-882-9998 | |
Dental Depot Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 803 S Jefferson St, Suite 2, Moscow, ID 83843 Phone: 208-882-2531 Fax: 208-882-5701 | |
Bluesky Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2500 W A St Ste 204, Moscow, ID 83843 Phone: 208-882-9111 Fax: 208-882-3279 | |
Wayne Peterson Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1138 West A St, Moscow, ID 83843 Phone: 208-882-9310 Fax: 208-882-8601 | |
Nature's Way Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 619 S Washington St Ste 303, Moscow, ID 83843 Phone: 208-883-7777 | |
Community Health Association Of Spokane Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 803 S Main St Ste 120, Moscow, ID 83843 Phone: 208-848-8300 Fax: 208-882-5587 |